Individual
SHAARA KATHERINE BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD # 259-8725, SUITE 308, TAMPA, FL 33606-3475
(813) 259-8725
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME144778
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106639400
—
FL
01
—
MR348
MEDICARE
FL
01
—
QX1JH
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/24/2017
Last updated
10/27/2020
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